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Flashcards in Cardio Deck (16)
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1

Angina/IHD

Aspirin + statin +GTN

PLUS - 1. Beta blocker or CCB
2. inc dose
3. add CCB ( nifedipine NOT VERAPAMIL)

2

Primary prevention in diabetics

Atorvastatin 20 mg in:

>40y
diabetes >10y
nephropathy
other CVD risk

3

HF investigations - previous MI

Echo within 2 wks

4

HF investigations - no previous MI

BNP, if v high --> echo in 2wks. If raised --> echo in 6 wks

5

Systolic HF

1.Beta blocker (bisprolol) and ACEi

2. add spironolactone/ARB/ATII blocker

Supportive - furosemide, flu vaccine, one off pneumococcal vaccine

6

Diastolic HF

Supportive - furosemide, flu vaccine, one off pneumococcal vaccine

7

Hypertension

1. ACEi/CCB (if over 55 or afro carribbean)
2. Add other
3. thiazide

8

Hyperlipidaemia (primary prevention:

Qrisk (10y CVS risk) >10%
type 1 diabetics
CKD stage 3 or more

20mg atorvastatin

9

Hyperlipidaemia (secondary prevention):

-MI
- stroke
-PAD

80mg atorvastatin

10

NSTEMI

Morphine+metaclopramide
Oxygen
Nitrates
Aspirin 300mg and clop 300mg
LMWH

Assess need for PCI w GRACE score/ later angiogram

11

STEMI

Morphine+metaclopramide
Oxygen
Nitrates
Aspirin 300mg and clop 300mg
Beta-blocker
ACEi
Statin
Heparin

PCI within 2hrs or tPA then PCI if unable

12

Glucose control in diabetics post MI

Stop meds, dose adjusted insulin infusion, glucose<11

13

Acute LVF

Morphine
Oxygen
CPAP
Adenosine (ionotropes)
Nitrates
Diuretics

14

AF - management

Rate - beta blocker
anticoag - lmwh/ doac if chadsvasc >2
cardioversion - pharma (flecainide/amiodarone if heart disease) or electrical if hf/syncope/shock/chest pain
etiology

15

SVT

Vagal manouvres
Adenosine infusion (if unstable))
Cardioversion
Beta blocker and ablation

16

long term af prevention

CHADSVASC

if male 1 or female 2 - anticoagulate

warfarin (INR target 2.5) or NOAC

amiodarone and cardioversion if no HF
digioxin if lots of comorbidities